HomeMy WebLinkAbout201 W 4th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES r;
360- 417 -4735
Application Number 11- 00001005 Date 9/14/11
Application pin number 544095 REPORT SALES TAX O
Property Address 201 W 4TH ST our excise tax form
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 7180 -0000- on y
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pplication type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
ANGELES EL/ WIRING REPAIRS
Owner Contractor n
KANARR JULIE A ANGELES ELECTRIC
P 0 BOX 327 524 E. 1ST ST.
WILSALL MT 59086 PORT ANGELES WA 98362
(360) 452 -9264 •sz c 2. 6S
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc ANGELES EL./ REPAIRS
Permit pin number 192583
Permit Fee 81.30 Plan Check Fee .00
Issue Date 9/14/11 Valuation 0
Expiration Date 3/12/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
3.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 7.80
Fee summary Charged Paid Credited Due A Permit Fee Total 81.30 81.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 81.30 81.30 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 43 ,7 /4Q
FINAL 5131 (2-- ,i.
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
09/13/2011 10:12 FAX 360 452 9265 Angeles Electric I j0001 /0001
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Affer'iiadlnp the pbMiteisEmwd; I hereby certify that I am the Omar of the above fund property ore Ilaneed eledrkal contractor. tarn Making the elect dralirrbefetlon or
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t4: CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001149 Date 10/12/11
Application pin number 558047
Property Address 201 W 4TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 7180 -0000- REPORT SALES TAX
Tenant nbr, name ALLEN S STURDEVANT
Application type description MECHANICAL APPL. PERMIT On your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation 3675
Application desc
MINI -SPLIT HEAT PUMP SYSTEM
Owner Contractor
ALLEN AND SARAH STURDEVANT PENINSULA HEAT INC
P 0 BOX 1617 782 KITCHEN -DICK RD
PORT ANGELES WA 983620196 SEQUIM WA 98382
(360) 452 -5648 (360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc MINI -SPLIT HEAT PUMP.SYSTEM
Permit pin number 194506
Permit Fee 64.80 Plan Check Fee .00
Issue Date 10/12/11 Valuation 0
Expiration Date 4/09/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of st a or local law regulating construction or the performance of
construction,
//Z l C ta 4 5 6✓1 3
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -ln
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Stab
Wall Floor Ceiling v
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date ti'' I la' Accepted by Jt4
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.VV. PW Engineering 417 -4831
Fire 417 -4653
3
Planning 417 -4750
Building 417 -4815
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PROJECT STATUS UPDATE
Permit l H U 1 21 W 4-
Date: 1 4 6 t 2-
1 phoned the: Applicants I n9u1a 4 at 1408 I333
3
Property Owner at
Contractor at
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
Co rcu1
T:Forms /Building Division/Project Status Update
Oct 12 11 02:07p PENINSULA HEAT 3606812086 p.2
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received 10 Z— (1
Permit# �Iy�
City of Port Angeles Piease print in ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5` St., Port Angeles, WA 98362
360- 417 -4815 fax: 360-417-4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mort-Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person 1 Phone:
✓!e rr /t i> 3
Property owner
4� �er1 r� h Svr�P l e-r,� j 7 Phone: '5 yg
Property owners mailing address:
Contractor's business name: Perj Phone:.
(or property owners name if he/she is doing /overseeing the work) 4:% 33
Contractor's mailing ad res
d l r h1 `i-7
Contractor's &l license number: Expiration date
/6 I /VIZ-
9
Project Address:
Project Type: arl(esidential Cornmerciai o industrial c Multi family
Project Business Name:
(for commercial, incustrial, or multi family projects)
The following permits are usually issued cver- the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: o house o garage o other
to tear off re -roof Q lay over one !aver
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation S (labor materials, not including sales tax)
Re -side: c house o garage o othe
Project Valuation (labor materials, not including sales tax)
,Repair: (explain the protect)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, b reflect the value the repair adds to your property.
Cost of materials x 2 Prcject Valuation
T :Forrns/Building Division /Building /Plumbing /Mechanical Permit Applicaton— Short Forrn (Revised 2011)
Page 1 of 2
Oct 12 11 02:07p PENINSULA HEAT 3606812086 p.3
Swimming Poo! or Spa 24" deep): For prefabricated swimming pool or spa projects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation S
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? a house o garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
a yes no Will the debris be going to the Regional Transfer Station ir: Port Angeles?
c yes o No If yes, will a licensed contractor be taking it there?
(1) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the protect)
Project Valuation
Mechanical Permit: (explain the protect)
Project Valuation 7<
have read and completed this application and know it to be true and correct. l am authorized to apply for this permit
and understand that it is my responsibiiit o determine what ermits are required, and to obtain permits prior to
wonting on projects.
Date /6//24// Signature 6/1 Print Name ec_ y���
Page
Clallam County Assessor Treasurer Property Details 56150 ALLEN AND SARAH Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 56150 ALLEN AND SARAH STURDEVANT for Year 2011 2012
Account
Property ID: 56150 Legal Description: LOT 20 BL 71 TPA
Geographic ID: 0630000071800000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section:
Range:
Location
v sys.
Address: 201 W FOURTH ST Mapsco:
PORT ANGELES, WA 98362
Neighborhood: PA East Res Map ID: 2
Neighborhood CD: 5001000
Owner
Name: ALLEN AND SARAH STURDEVANT Owner ID: 54838
Mailing Address: PO BOX 1617 Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -0196
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 10/12/2011
Amount Due if Paid on: E. NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year s Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
Statement Details
2011 150903 $880.37 $880.30 $0.00 $0.00 $1760.67 $0.00
Statement Details
2010 39204 $843.44 $843.40 $0.00 $0.00 $1686.84 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 10/12/2011 3:47 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =56... 10/12/2011
ELECTRICAL PERMIT t
CITY OF PORT ANGELES
360- 417 -4735
Application Number 11- 00001116 Date 10/07/11
Application pin number 885988 REPORT SALES TAX
Property Address 201 W 4TH ST our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-7180-0000- on y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use •(Location Code 0502)
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
Ductless heat pump
Owner Contractor
Name: ALLEN AND SARAH STURDEV OLYMPIC ELECTRIC CO INC
P 0 BOX 1617 4230 TUMWATER
201 W FOURTH ST PORT ANGELES WA 98363
PORT ANGELES WA 98362 (360) 457 -5303
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 194118
Permit Fee 73.50 Plan Check Fee .00
Issue Date 10/07/11 Valuation 0
Expiration Date 4/04/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
Fee summary Charged Paid Credited Due
Permit Fee Total 73.50 73.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.50 73.50 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN ..7-8 1 1 0 O
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
10/06/2011 09:51 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT Z 003/003
RECEN 1
OF pORr4
OCT 6 1.1 11 c e
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections ELECTRICAL L
321 East Firth Street P.O. Box 1150 Port Angeles Washington, 96362 INSPECTIONS
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Deb3: //1
_,1
_,1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: ..,,,,t/ y Cf S/T
Building Square Footage:
Description of stove eit-?"..: f 4'r �',rrr� 7%Cs r 7
Owner In 0 on Contractor Information
Name: 1 i Name: OLYMPIC ELECTRIC
Meiling Address: ,6-74 /3.0 /6/7 MaingAddreaa: 42 TUenWATER
City oifj9. •Gf Stele 4.1-7 B f 51:7 (;itt PORT ANaELB Slate: WA Tip: 9 8363
Phone: 4 /1.7.2. 4 ","d Y," Fa[: phone: 457 -53 03 Fax: 452_3 i,913
Ucenee Exp. License 0/ Exp. OLYMPE B5D1
!tam Unit Charge guy Total (Qty Multiplied by Unit Charm)
ServicelFeeder 200 Amp. 5119.90
Service/Feeder 201.400 Amp. 145.50
Service/Feeder 401.600 Amp 204.60
SendcelFeeder 601 1000 Amp. 26220
Sainte/Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Say ice Feeder 73.50 _L 77. r
Each Additional Branch Circuit 260
Temp. Sendai Feeder 200 Amp. 92.70
Temp. ServioelFeeder 201.400 Amp. 110.30
Temp. Service/Feeder 401600 Amp. 148.70
Temp. ServicelFeeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign/Outline Lighting 8820 5
Signal CircuiU Limited Energy First 1500 st-. Commercial 95.90
Note: 55.00 for each additional 1500 al
Signal CIrculU Limited Er& -1 2 Fan* Dretling 63.90
Signal CirauiV Limited Energy Multi-Family Duelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Emir/ 510/A Spsiem or Less $102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square FL $110.30
Each Additional 500 Square or Por6on of 35.20
Each Outbuilding or Detached Garage 7150
Each Swimming Pod or Hot Tub 5110.30
73. M Total
Owner as defined by RCW.19.28.261: (1) Owner will =spy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the elecbtcal Installation or alteration it compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Minioipal Code, and Utifty Specific:ations and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature af owner, electrical m��eder or elecbkai adminlstrator 0 Cash Check
�y7 ®Cr Card M
Dare: /a/6/// 011012010
,o,, CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 1/28/2002 PERMIT NO: 13202
OWNER/APPLICANT PROPERTY LOCATION
201 4TH ST W
JULIE KANARR
201 W 4TH STREET Lot: 20
Port An§eles, WA 98363 Block: 71 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000007180000
CONTRACTOR ARCHITECT
LARRY'S ROOFING N/A
352 AVIS ST
Port Angeles, WA 98362 , 98360-0000
360/452-2215 360/000-0000
PROJECT INFO
Project Value: $5,000.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 ~'~
Zoning Use:
PROJECT NOTES
TEAR OFF, SHEET, FELT, COMP.
RECEIPT# 8731
FEES ASSESSMENT
Building Permit: $111.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
I Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days Eom the lest
inspection. I hereby certify that I have reari and examined this application and know the same to be true and correct. All provisions of
laws and ordinance,,s.~oveming this type of work will be cemplied with whether specified herein or not. The granting of a permit does not
presurr~e, to give aJOt.,bbdt~ to violate or cancel the provisions of any state or local law regulating construction or the performance of
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL/IWFUL TO COVER,
INSULATE OR CONCEA£ ANY WORK BEFORE INSPECTED AND /4CCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE '~ i '~ ~ ~
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIKDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB [
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PER341T #'s SEPA:
PARKING/LIGHTI NG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ,/,/~ ~,~ PLANNING DEPT.
BUILDING 417-4815 [ ~ BUILDING
C:L~,PPL.WPD
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15216
/1-/' . )'
Port Angeles. Washingtonm___n_m_____n___n_____________________________n_n____, 19______:_
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do elect~ical work as listed below.
-'" / I </L_/
Address ----i:.--:m--mn-m-;G:z.:::.:---~-"'-------------------.nnn-----------..--- Occupancynn/.1n__:_L____nu__.____________m_nn__
Owner m_"n.___:k:tJ.._______L_C_n{-""-:!:_~_:'_'::::______u________ TenanL__mm__nmm_n_mn_m__________m__m_________________m___
Wiring C:ntractor __n-'_::{?_n_1.~__'_'_':n"'~_~n_"_~_______n_m____n By________-'-'_n_-'___nm_nm_____m____n____n____m_n____-'__
Light OutletB......................_...................
Service, volts _J.n~:n~n)~e_(_5.........
No. wires nn___~__._________...___...n___nn
:11:1: ;:::B:::tJ;:~~i::::::.-::
Enclosure -----5------------000.-------------
Type of wiring:
Entrance Cable ___..______..___000______..00
Receptacle Outlets...._______.____________.......
Dryer, KWj........________....___..___
Range, KW _mnnn_______m__
Water Heater:
KW..______....___..n.........___..___
Heat' RW.......I./...l3.B.....................
Rigid Conduit ___________._
Motors: size, volts and phase:
Metallic TUbing ___.h__..n.___h._.____h
Current transformers:
No. & Size__nn__nn_nnn_nnn_._n_____n.
Ser. NO.nnn.n_.nnnnnn_nn______.nn_.n..
Ser. No.._.___________.______.._______......_......_..
Type of Wiring:
Armored Cable.
Non-Metallic ..._.00..00_....00____00.__000000
Knob & Tube_._____.n___._________..___..__.
Rigid Conduit __m__m_______.m.______...
Metallic Tubing ________.___.__n______nn
Race"\vay .n__...n_.__.__nn.._._.__n.______....
Circuits, LighL.......h.....____...._......._______
Utility nn..n__n._..n___.........__n_______nn
Heat ___nn__nnn...nn_____nn_.nh........._
Range _______..__........._...._._.....____________
Water Heater n_m________________________.
Motor ________.___.._...____.._....___..._....___..
Dryer..___n___________n______nn___._______.__n____
0000-00--000000-----00000000-00--00-----0000-0000---.00.... Ser. NO..__nn_...nnn_____nnnnn__n_nn__._. Furnace ...._..nn_n............____n..__..
Total Load..........................__. Se,. No__. . I Total .........._............................
::=:~:~:m:-::::::::::::::::~:::::::::::~:~:::'=:::::::~::::::::::~=/:~-:=..~:..::~~::::~:~~::::~:::::::::::::::::::::::::::::::::::::::::
Permit Fee Treas. Receipt ~/ y ~ . -/ I .'
$_______.___________________._________. No.____________________________ By ___-:::L_:-,J___,_:_v.:.(_,_____-:.fL':cJ.~_c!:_L:__',"~____..____
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/ //;<.; E!j
,). (Y 0 ,-1
ELECTRICAL PERMIT
N?
15216
Datecalle(f;loj.:ispectfori___~__.,t;0i.----.---.-----...----------.----------..-------.------.---..---------------..---..!/._____:/.o..__..=____?__~____~_______
.ny'/ ett!ll'n .,I~. (.(JA) '---
~::;~:::::~::leted_:;2t~~~.:::~~;:::::::~~::~:::.::::::::;::~:::.:::-:::::::.:::.::-:::::::::.::.::::::::::::::::::::::::::~~::::::::::::::::::~::::::::::~:::::::~
Total Load ._......_....______._______._____._____.._______.__.___________..______.____.____________ ._.__.
1M 3-72 Olympic Printers, Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES_
- 360-417-4735
Application Number 16-00001632 Date 11/01/16
Application pin number . . . 728448
Property Address . . . . . . 201 W 4TH ST
ASSESSOR PARCEL NUKBEk: 06 -30 -0¢ -0 -0 -7180 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning RESIDENTIAL HIGH,DENSITY
Application valuation . . . . 0
-------------------------------------------------------- ------------
Application desc
Heater circuits and clean up
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------- ----------
ALLEN AND SARAH STURDEVANT APS ELECTRIC
P O BOX 1617 546 BENSON RD.
PORT ANGELES WA 98.3620196 PORT ANGELES WA 98363
(360) 452-5648 (360) 452-6753
-------------.-.-----------------
Permit . . . . ELECTRICAL -ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00 -
Issue Date 11/01/16 valuation . . . . 0
Expiration Date 4/30/17
Qty Unit Charge Per Extension
— BASE FEE 75..0,0
------------I---------------------------------------------------------------
Fee summary Charged Paid Credited" Due
------------------ ----- --------
Permit Fee"Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
REPoar s.AtE ! TAx
on your exc#se tax form
to the City of Port Angeles
(Location Cade 0$02
i
i
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DUCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: 1
FEMMIT WILL EXPME SIX (6}MOMHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date'.
G.IEXCHAN"UILDNG
10/31/2016 03:21PM 3604526753 A.P.S. ELECTRICAL PAGE 03/03
I
CITYOF PORT ANG,ELF.S PERMTT APPLICATION
ftikUng DivisioRMeetrical Usk
321 East Fid Street _ P.O. Sax 1150 t Port Angeks Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
tom: )a> -3f -)L
1 & 2 Single !=*;Wily Dm ing
�ta��; 1 Regia-0fined, Ple ompiete Ele�'icat Plan Review Infortr►ation Sheet
of s6ovFt�,� -Arht is
1
'n'l_i- � : .
Owner info fi
�a 16}-dr� r +!
of s6ovFt�,� -Arht is
,� � � �2 e� n ct �
'n'l_i- � : .
Owner info fi
�a 16}-dr� r +!
" le.G�` rl� �p Aho r
Hama
'�
1
Nft Address Ni -
Adtew, e% ne.
�
Cr7yr 181Fe:_ —ZIF
CiV Z11).�
Phew f -50--5CYb—Farc
NOW Fac
Um= % Exp.
i.;oense i# /Exp.
Wn
V$ ��
9!Y- T21d& ► UuMAW by Una! Cltjg gj
S eedeE 200 Amp
5ervoJFeeder 201-400 Amp.
$198.00
$
Servtce<Feeder 401-M Art3p
$ 205-00
$
ServlcalFeeft 601-1000 Amp.
$ 28200
$
SavioalFeeder over 1000 Amp.
$ 373-00
$
BranCh Cired W/ Service Feeder
$ 5.00
S
Branch CirrruitW/0 Service Feeder
$ 63.00
Each Addi fond Branch Ci=A
$ 5.00 •
S
Branch OrW41-4
$ 75-00
Temp- SerYroef Feeder 40 Amp-
$ 93.00
$
Temp, SwApelFeeder 2031400 Arrrp-
$110.00
$
Tenn- Servimfeeder 401-6W Amp.
$ !49.00
$
Temp. Svyic4eeder601-1000 Amp
$168.00
$
Porti to Portal Hot*
$ 96.00
$ -
Signei CkmiY #ruffed EneW -1 & 2 Fa* DweFurg
$ 64.00
$
Mmjhx ured Home Connectim
$120.00
S
Renewable E*hfcal Eroergy - 5KVA System or Less
$10200
$ -
TherYno A
$ 56-00
S
Nola $5-410 for each additonal T -SW
NEW Ci;iRtlCifOH QNLY:
Fust 1300 Square Ft
$120.00
t=act Addi rW 500 Square Ft or Portion of
$ 40.00
$
Earh Ouftffmg or Detidied Garage
$ 74.00
$
Each Sr m *g Pool or Not Tub
$110.00 -
— $
'� `� .Total
Owner as defined by RCW.19.28261: (1) Owner vA ocawy the sbvctWre for two yeas ager this eiecWW.. permit is finalized. (4 0WW is mq ired
to hire an ekt ical contractor if above said property is for We, teat or lease. POMA 6*% of bet suc months of W. inspecoon.
After read% tie above sWorw% I hereby ce;* that I am ft owner of the above named property or a licensed Weetribi ooriiractor. i an mafdng
the electrical instaii8tion or alteration. in complanee with the electrical taws. KE -C-, RCW. Chapfr'.r 19.28, WAC, QWW 20646B, The Cttr of Port
Angetrs Municipal Code, and Utft Spedftations and PAMC 14-0&050 regarding eersrical, Permit Appircaflons.
Signatvry of *%ww, electrical contractor or electrical adningotrMarr B CM& 13 Chock
1r
�cnxncxd# 61-1 A.i1�
X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001632 Date 11/01/16
Application pin number . . . 728448
Property Address . . . . . . 201 W 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -7180 -0000 -
Application type description ELECTRICAL' ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . , . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heater circuits and clean up
----------------------------------------------------------------------------
Owner
Contractor
ALLEN AND SARAH STURDEVANT
APS ELECTRIC
P O BOX 1617
546 BENSON RD.
PORT ANGELES
WA 983620196
PORT ANGELES
WA 98363
(360) 452-5648
(360) 452-6753
-------------;-------------
Permit . . .
- - -
. ELECTRICAL ALTER RESIDENTIAL
Additional desc .
. 1-4 CIRCUITS
Permit Fee . . .
. 75.00
Plan Check Fee
.00
Issue Date . . .
. 11/01/16
valuation . . .
. 0
Expiration Date .
. 4/30/17
Qty Unit Charge
Per
Extension
-BASE
FEE
75.00
--------------------------------------
Fee summary
Charged
-
Paid Credited
---------- ----------
Due
-----------------
Permit Fee Total
---------- ----------
75.00
75.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
75.00
75.00 .00
.00
INSPECTION TYPE DATE:
DITCH
SERVICE
ROUGH -IN
FINAL
CONdVIENTS :
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGEWILDING
RESULTS:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Date: •